| NPI | 1053479634 |
|---|---|
| Doing Business As | FRESH ROOTS FAMILY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DELL CHRISTY TYSON Co Director 479-986-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P9201002) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M9710002) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |